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E-ISSN: 2828-335x
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FACTORS RELATED TO THE UTILIZATION OF BIRTH WAITING
HOUSE BY DELIVERY WOMEN IN THE WORKING AREA OF
PUSKESMAS TREATMENT, PADANG CITY
Uliy Iffah, Miranie Safaringga, Rani Shabrina, Laila Hijradesy Ridwan
Faculty of Medical, Universitas Andalas
uliyiffah07@med.unand.ac.id
ABSTRACT
Birth Waiting Home (RTK) is a government program that aims to reduce maternal mortality. But in reality,
there are still many people who do not take advantage of this facility. The purpose of this study was to
analyze the factors related to the use of maternity waiting homes (RTK) by mothers in the city of Padang.
This research is explanatory survey research conducted in four treatment centers in the city of Padang. The
research sample was 185 mothers who gave birth in January-July 2022 at four Padang City Health Centers.
Data collection tool using a questionnaire. The data analysis method used is chi-square at the 95% level of
confidence. The results of the study show that none of the respondents used RTK. Knowledge, attitude,
parity, mileage, and health insurance are not related to the use of maternity waiting homes (RTK). It is
recommended to the Padang City Health Office to carry out routine supervision of the implementation of
work programs related to maternal and child health, especially the use of birth waiting for homes (RTK) in
all health centers in Padang City.
Keywords: RTK, Padang City Health Centers, implementation
This article is licensed under CC BY-SA 4.0
INTRODUCTION
Based on the profile health of Padang city, in the year 2019 Dead mothers as big 16 souls
per 100,000 birth life. Number this will increase in 2020 to 21 people per 100,000 births life.
Cause _ the most is an infection, hypertension, eclampsia and pre-reclamation, abortion,
kidney, lung, HIV/Aids diabetes, malaria, and heart disease (Government Padang city, 2020).
The padang city still is wrong one contributor BATTERY most in West Sumatra Province
(Republic of Indonesia Ministry of Health, 2020).
The Birth Waiting Home is one of the Government Programs that aim to reduce amount
Dead mothers, capable increase the scope of labor by power health, able to increase the
coverage of deliveries in health facilities as well able to handle emergency cases (Kemenkes
RI, 2009). This program is listed on Permenkes Republic Indonesia Number
2562/MENKES/PER/XII/2011 about Instruction Technical Guarantee Labor.
By therefore, to support the Government Program, the Municipal Government of Padang
established Birth Waiting Homes at five health centers in Padang City, namely Air Cold Health
Center, Pauh Health Center, Sebrang Padang Health Center, Bungus Health Center, and
Nanggalo Health Center.
The target of using the RTK is pregnant women with factors risk and risk tall as well as
mother pregnant from location and geography which difficult (Ministry of Health RI, 2009;
vans Lonkhuijzen, Stekelenburg, & vans Roosmalen). According to research results from (Hong
& Them, 2015), two out of four causes of the low utilization of birth waiting for homes is due to
geographical factors and no cost. The statement is also in accordance with the results study
Adriana (2014) that access to service health is variable which relates to the utilization facility
Factors Related to the Utilization of Birth Waiting House by Delivery Women in the Working Area of
Puskesmas Treatment, Padang City
756 2., 3., February 2023
labor which adequate and research Bakoil (2017) which states health insurance as well take
effect in a manner no direct to utilization house wait for labor.
The RTK program was launched in January 2016 simultaneously at all Community Health
Centers in the Padang City area. Outreach has also been carried out good that by Service Health
Padang city to every public health center nor Public. However, in fact, the Public not yet
enthusiastic use the RTK. This can be seen from the initial survey that the researchers
conducted with several RTK coordinators, all of whom said that the RTK at the Puskesmas
was no longer active. This is because the funds from the government are not flowing smoothly
and the community is not too enthusiastic about taking advantage of this RTK.
There is a number of reason which underlie the mother no utilise facility provided by the
Government. Based on the results of interviews with researchers to ten person mother which
once maternity in 5 treatment center in Padang City, 70 percent said the family did not support
so no one accompanied while in RTK, 60 percent say no is labor which first, 85 percent say
condition and their pregnancies are in good health, and 55 percent do not know yet clear about
the benefits, facilities obtained and costs while in the RTK so they think they don't need the
RTK because they are giving birth could where done just.
Results observation researcher in the field obtained that position 5 locations all RTK in
Padang City, namely RTK Sebrang Padang Health Center, RTK Public health center ugh, RTK
Public health center Cold Water, RTK Nanggalo Health Center and RTK Bungus Health
Center. The RTK is not far from the Puskesmas and the facilities available at the RTK are in
accordance with standards such as: listed by the Minister of Health. However, the drawbacks
are owned by almost whole RTK is only capable holds less than four mother persons at the
same time because the size of the house used is not too big. This could be another reason why
people are not willing to use it RTK.
Some of the results of previous studies, namely Kawakatsu et al (2014), and Ruiz et al
(2013), show that factors which relate with the utilization of house wait birth that is factor
demographics, mother's education, mother's knowledge, birth interval, distance and time
traveled, socio-economic conditions, completeness of birth waiting for home facilities, services
and skills of health workers, referral system, involvement and role as well as Public, and health
mother. Results study the also in support by research (Sukoco, 2017).
In line with the Andalas University Research Master Plan (RIP), this research will be
integrated into the themes of Food Security, Medicine and Health. Description of the research
sub-theme, namely nutrition and health, especially maternal and child health.
METHOD
Study this is study survey explanation or explanatory research with a cross-sectional
design. Data collection was carried out in August 2022. The population in this study were all
mothers who gave birth on January - July 2022, which totaled 185 people and the research
sample was a sample that met the inclusion criteria. The instrument to be used in this study is
a questionnaire.
Factors Related to the Utilization of Birth Waiting House by Delivery Women in the Working Area
of Puskesmas Treatment, Padang City
757 2., 3., February 2023
RESULTS AND DISCUSSION
1. Parity Frequency Distribution Associated with Utilization of Waiting Homes Birth
(RTK) by Maternity Mothers
Table 1. Frequency Distribution Parity of Maternity at the Padang City Health Center
in 2022
Parity
f
%
risky
Not risky
42
143
22,7
77,3
Total
180
100.0
2. Knowledge Frequency Distribution which Relate with Utilization House Wait Birth
(RTK) by Maternity Mothers
Table 2. Frequency Distribution Knowledge of Maternity Mothers at the Padang City
Health Center in 2022
Knowledge
Amount
%
Well
Bad
29
156
15,7
84.3
Total
185
100.0
3. Distribution of Guarantee Frequency Health which Relate with Utilization House
Waiting for Birth (RTK) by Mother Maternity
Table 3. Frequency Distribution Guarantee Maternity Health at the Padang City
Nursing Center in 2022
Amount
%
59
126
31,9
68,1
185
100.0
4. Mileage Frequency Distribution Relate with Utilization House Waiting for Birth (RTK)
by Mother Maternity
Table 4. Frequency Distribution Mileage of Maternity Mothers at the Padang City
Treatment Health Center in 2022
Distance go
Amount
%
>10 minute with walk foot
≤10 minute with walk foot
71
14
92.4
7,6
Total
185
100.0
5. Frequency Distribution of Utilization of Birth Waiting Homes
Table 5. Frequency Distribution Utilization of Maternity Waiting Homes at the
Padang City Nursing Center in 2022
Utilization RTK
Amount
%
Utilise
Not utilise
0
185
0
Factors Related to the Utilization of Birth Waiting House by Delivery Women in the Working Area of
Puskesmas Treatment, Padang City
758 2., 3., February 2023
Total
185
100.0
6. Connection parity, knowledge, guarantee Health and Time go with Utilization Waiting
House Birth (RTK) by Mother Maternity
Table 5. Relationship parity, knowledge, guarantee Health and Time go with
Utilization Waiting House Birth (RTK) by Mother Maternity at the Padang City Health
Center in 2022
Utilization RTK
Variable
Utilise
Not
utilize
Total
p.s
value
n
%
n
%
n
%
Parity
Not risky
12
8,4
131
91.6
143
100.0
0.544
risky
5
11,9
37
88.1
42
100.0
Knowledge Well
Bad
1
16
3,4
10,3
28
140
96.6
89.7
29
156
100.0
100.0
0.480
Distance travel
≤10 minute with walk foot
>10 minute with walk foot
0
17
0.0
9,9
14
154
100.0
90,1
14
171
100.0
100.0
0.076
Guarantee Health Have
Not have
6
11
10,2
8,7
53
115
89.8
91.3
59
126
100.0
100.0
0.788
DISCUSSION
1. Parity
Based on research on 185 respondents obtained 42 people have parity which is risky
(22.7%). Results test Chi-square obtained score p= 0.544, it means no there is a connection
which significant Among parity with utilization house wait birth (RTK) by mother maternity
in Padang city. Results this in line with study by Sukoco (2017) state that no there is parity
relationship with utilization RTK.
Parity in mothers has a relationship with the utilization of waiting homes Birth (RTK) where
exists perception mother about the importance use RTK at the time of giving birth which is not
so important. This matter which cause mother no utilize RTK because think give birth to
directly at a health facility without having to stop first at the RTK same.
On the study this factor parity no has a connection with use of maternity waiting homes in
Padang City. Therefore, researchers assume that there are other factors besides factors parity
which more chance relate with home use wait for birth by mother maternity in Padang city.
2. Knowledge
Based on research on 185 respondents obtained 156 people have poor knowledge (84.3%).
The results of the Chi-square test obtained values p = 0.480, meaning that there is no
Factors Related to the Utilization of Birth Waiting House by Delivery Women in the Working Area
of Puskesmas Treatment, Padang City
759 2., 3., February 2023
significant relationship between knowledge and utilization house wait birth (RTK) by mother
maternity in Padang city. The results of this study are not in line state that knowledge have
influence in a manner significantly by leveraging RTK.
Knowledge Public is very important for form attitude positive so that push Public in increase
access to health facilities. From statement the show that importance power health for to do
promotion and education to the public to increase the utilization of RTK.
In this study, the knowledge factor has no relationship with use of maternity waiting homes
in Padang City. The better and more frequently the RTK information is received by
respondents, this is will impact their knowledge about the benefits of waiting homes birth the.
With exists knowledge good this, the respondent will be motivated to stay at the RTK before
and after delivery takes place. Therefore, researchers assume that there are other factors besides
factors of knowledge which more chance relate with the utilization house wait births to birth
mothers in Padang city.
3. Health insurance
Based on research on 185 respondents obtained 126 people do not have health insurance
(68.1%). The results of the Chi-square test obtained values p = 0.788, meaning that there is no
significant relationship between health insurance with utilization house wait birth (RTK) by
mother maternity in Padang city. A significant relationship between access and insurance
ownership health with service utilization health.
On study this factor guarantee health no have a connection with utilization house wait birth
by mother maternity in Padang city. Most of the respondents do not have health insurance. One
of the reasons are related to income. The lack of income, causes respondents chose a dukun
beranak to give birth. Therefore, researcher assume that still there is factor other besides factor
guarantee health that is more likely related to the use of waiting homes birth by mothers giving
birth in the city of Padang.
4. Mileage
Based on research on 185 respondents obtained 71 people had a distance of >10 minutes by
foot (92.4%). Chi -test results square obtained p = 0.076, meaning that there is no significant
relationship between distance travel with utilization house wait birth (RTK) by mother
maternity in Padang City.
In this study the mileage factor has no relationship with use of maternity waiting homes in
Padang City. Possible causal factors because most of the respondents only have bicycle
motorcycle as means transport daily. Added with distance which enough far from facility health
cause they have given birth at a village midwife or traditional birth attendant. Therefore
Therefore, researchers assume that there are other factors besides the mileage factor more likely
related to the use of birth waiting homes by maternity mother in Padang City. For example tool
transportation.
CONCLUSION
1. No utilization house wait birth (RTK) in Padang city
2. Not there is connection knowledge with utilization house wait birth (RTK) by mother
maternity in region Padang city (p=480).
3. Not there is connection parity with utilization house wait birth (RTK) by maternity
mother in the region Padang city (p=544).
Factors Related to the Utilization of Birth Waiting House by Delivery Women in the Working Area of
Puskesmas Treatment, Padang City
760 2., 3., February 2023
4. Not there is connection distance travel with utilization house wait birth (RTK) by mother
maternity in Padang city area (p=0.076).
5. Not there is connection guarantee health with utilization house wait birth (RTK) by
mother maternity in region Padang city (p=788).
Suggestion
1. Recommended to The Padang City Health Office should To do supervision routine to
implementation program work related to with health mother and child specifically
utilization house wait birth (RTL) in whole Public health center which is at in Padang
city.
2. Recommended to the Puskesmas to conduct mapping of pregnant women who high-risk
so that it is easy to monitor in order to prevent its occurrence mother's death.
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